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Home My WebLink About3172 SICILY AVE - Building Permits� � (�1 a) �54-52�3 • Fax (�ta) �54-4856 • www.ci.costa-mesa.ca.us 77 FAIH UHNh, GUS I A Mh.7A, l:A 8Lt52ti BUILDING PERMIT i Job Address: 3172 SICILY AV Suile: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 13913506 Applicant: RASOA, DEDE Address: 939 SERRA WAY COSTA MESA, CA Owner: BOLTON, STEVEN G Address 3172 SICILY AVE Zoning: R1 R1 Phone: (714)434-2525 Zip: 92626 Phone: COSTA MESA, CA Zip: 92626 Contractor: #1 BEST ROOFING CONSTRUCTION Address: P O BOX 4361 COSTA MESA, CA Zip: 92628-4361 Arch : Address: Phone: Phone: (714)434-2525 License: 722805 Eng: Address: ISSUED BY: Status: ISSUED Applied: 01/27/2004 Issued: 01/27/2004 Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACFiED GARAGE: T/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED, 2 LAYERS 15 # FELT, APPLY "30,YEAR COMP SHINGLES" 2300 SF Plan Ch�ck: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 I Total: $111.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existina: o Rear 0- 0 Rear 0-0 Reauired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Ri9ht 0- 0 Right 0-0 $a,55s.o0 $4,555.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access repuirements under California statutes and related regulations. (Ord. No. 92-20, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned ��, for a period of 180 days. � INSPECTIONS: In order for the work authorized untler this permit to be consideretl legal, such work must comply with all applicable codes, antl all ' reqWred 7nepacNons and flnal epproval must be obtained. Failure to obtain inspections arrd final approval will result in the expiration ot fhis permit. FOR INSPECTI4NS CALL: (714) 7545626 'ms-as (sroo) WORKERS'COMPENSAnON DECLARATION: ' I hereby atFirtn untler penalty of perjury ona ot the following tleclarations: ❑ 1 have antl will meintain a certificete of consent to sell-Insure tor workers' compensation, as provided br by section 3700 of ihe Labor Cotle, for the pedormance of ihe ,,,, �work for whiCh Ihis pertnit is issued. 6,Ii � have and will maintain workers' compensation insurance, as requiretl by section 3700 of ihe Labor Code, for Ihe pedortnance oi the work for which this permit is issued. My wo r�s,�'1c-ompensatlon Insurappa carrier a policy�mber are: `, Carner. //.[..! � J� f/.✓. Policy Number: � S4'� �.G I� '(This secfion need nat be compl ted il fhe permit is valuetl a( one hundred tlollars ($f 00) or less.) ' ❑ I certity that in Ihe paAortnance of ihe work for which this permit is issued, 1 shall not employ any person in any manner so as to become subjeci to the workers' compensation laws of Califomie, and egree that if I should become subject to Ihe workers' compensation provisions of Saction 3700 oi the Labor Code, I shall forihwith comply with Ihese p s. Applicent Signature: . �C%��— Date: /— �7��4 WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION CpVERAGE IS UNLAV/FUL AND SHALL SU6IECT AN EMP�OVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED T/qUSAND DOLLARE (5100,000f, IN NDDITION TO THE COST OF CAMPENSATION, DAMAGE$ AS PROVIDED FOR IN SECTIpJ 3]O6 OF THE LABOR CO�E, INTEREST, AND ATTORNEV'$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am licensed und4�provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, antl my license is in full force and eftect. Lla W'% _(9�� 5 Class #` e �� contractots s�gnamre: �pE}�i oate: 7_ 27_ D/� CONSTRUCTION LENDING AGENCY: �❑ I hereby aRirm ihat ihere is a construction lending agency for Ihe pedormance of the work tor which ihis permit is issuetl. (Sec. 3097, Civil Code). I, Lenders Name: Lender's Atldress: �I Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirtn that under penalry of perjury ihat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions Coda: Any city or county which requires a permit to constmct, elter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires ihe applicant for such permit b file a signed statement that he or she is licensed pursuent to �he provlsions of the Contradors License Lew (Ghapter 9(commencing with Sec�ion 7000) oi Dlvision 3 of the Business antl Professlons Code) or that he or she is exempt therelrom and the besis for the elleged exemption. Any violation of Section 7031.5 by any epplicant tor e permit subjects ihe applicent to a civil penalry of not more than five hundred dollers ($500).): ❑ I, as owner ot Ihe property, or my employees with wages es their sole compensation, WILL DO THE WORK, and the stmcWre is not intentled or offered for sele (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves iheraon, antl who tloes such work himselt or herself or Ihrough his or her own employees, provitled that such improvements ere not intendetl or oNered for sele. It, howevar, the building or impmvement is sold within one year of completion, the owner-builder will have Ihe burden of proving ihat he or she ditl not build or improve for purpose ot sale.). - ❑ I, as owner of Ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Cotle: The contrectors License Law does nat apply to an owner of property w�o builds or improves Ihereon, and who coniracts tor such pro�ect with a contwctor(s) license pursuent to ihe Contraclors License Laws.). ❑ I am eaempt under sec. Business and Professions Code lor �his reason: Siqnature: Date: Owner ID venfied 6y tlrivers license. ❑ Yes ❑ No Driver's License No. Expires: Venfication oi Ownership 6y (type oi tlocument, i.e. - property taz bill or tleetlJ: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenify ihat no excavation five (5) or mora feet in depth into which e person is required to tlescend, will be matle in connec�ion wi�h work authonzed by ihis permit, antl that no building sirudure, scattolding, felsework, or demolition or dismantlinq ihereof, will be more ihan thirty-sia (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla 8, California Atlministretive Cotle). ❑ As owner-builtler, I will not employ anyone to tlo work which would require e permit from ihe Division of Intlusirial Safery, as notetl above, unless such person has e permit to do such work from the division. Signature: Date: Division of Intlustnal Sefary Permit Number. CER7IFlCATE OF COMPLIANCE AND AUTHORIZATION OF EMRV: I cenify under penalry ot perjury ihat I have read ihis apDlication and state ihat the information given is correc�. I agree to comply with all state lews and ciry ordinances relating to builtling constmdion, antl amhorize representatives of the City ot Costa Mesa to enter upon ihe ebove-descnbed property for inspection puryoses. I agree not to occupy o� allow occupancy ot eny building authorized by this permit until finel inspection. �qnaWre Ot Legal Owner(s) ata .t/'JtA.�I?�— (— %oc� �' And/Or uthorized Applicam �� COUE N. INSPECTIONTYVE 1616 Fixed System Final Fire Prevention 126fi �'� Pool Spa Final Finel Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QajE IN 0 oy �� COOE� INSPECTIONTVGE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy PLTE nmru�s : MaJESTIC CO'ADTIuc q ZUS ERIE ST z1a356oU00 HUNTINGTQN IN 46750 � 1�052751S227 06/15i79 ICS IPMBNGZ CSP SN4e 2193565300 MGM TDBN MUNTINGTUN IN 88 OB-15 0220P EDT i 1 9'S�b�f��t�ZI�I1�Qf�6�8iL Wd Wy MR �HAR�IE ROBERIS C�RE COST4 MESA B�DG DEWT '%� FAIR DR COSTn MES4 CA 92626 scs� � t �nn > 1N3W1NVd34 S3�IAN3S 1N3WdOl3A3Q tlS3W tl1S0� .i0 All� ) a�ni��aa THIS IS IN REG4RD TU THE L3bA FIREPLeCE THAT IS INSTALLED IN THE RESIUENCE OF MR RON PECa, 3172 SICILv eVE, COSTo MESA, CeLIFORNI4 92626. THE L36A TNERLM4 FIREPLACE IS IISTED 8Y THE UNDERWRITERS I,ABUR4TORY 4S wELL AS IGBO REPORT 1581 DATED JUNE 1974 aND IS COVERED BY MAJES?IC'S WARRANTV EVEN THOUGH THE IC80 REPOHT NUMBER IS NOT LIS7ED ON TN� L?BEL WNICH IS dTT4CHED TO THE FIREPLA[E TEHRV DENTON �US7pM�ER SERVICE DEPT 15t22 EST MGM�OMP MfM 1 J TO REPLY BY MAILGRAM, SEE REVERSE SIDE FOR WESTERN UNION'S TOLL - FREE PHONE NUMBERS ' � •[' n !.' i t , . _ TO REPLY BY MAILGRAM, PHONE WESTERN UNION ANY TIME, DAY OH NIGHT: FOfl YOUR IOCAL NUMBER, SEE THE WHITE PAGES OF YOUR TELEPHONE DIRECTORY OR DIAL (TOLL FREE) 800•257-2241 (EXCEPT IN NEW JEBSEY 800-632-2271) Ofl DIAL WESTERN UNION'S INFOMASTEH SYSTEM DIflECTLY: FROM TELEX . . . . . . . . . . . . . . . . . . . . 6161 FROM TWX . . . . . . . . . . . . . . . . 910 420 1212 Aov��ant to iill in al1 spaces excev� tnose wit�in heary Oortlar Iines antl sign al1 apo�ooriate Eeclarotionz. PERMIT N. ' TFACT NO. . �OT NO. , � BL CITY OF COSTA MESA ' , � - - � � � � � � ` _ . _ , , '69�?9 +G;.7/�!� . ee:::'; T: CONSTRUCTION PERMIT � - j � � ' � , ' ; � AppIICBnt'SMeilingAddfass , O. roa W8 ar ER8 . 7ypEOFCONSTRUCTION . ' �NEw ADO, ALTERATION REPAIR ' � ' � .. � , ' � . � ' � .. . ' � ProlectAddress� 3�7%- 5--��'i�� AVP. - ' • ❑CONVERSION ❑DEMOLISH ❑OTHER� �� ' r � - � � ' . - - ' � Owner's Neme 751-7�+70 � DESCRIPTION OF WORK _, � � HOWe vhone � - � I G REGUL TI N � �� Address _ � � 3� %�� S� °C' �-Y " � �� Y� ' , i � , '- TYPE OF PERMIT GRADING FOVNDATION ' STRUCTV RAL . A. P. W+ - ' ' ZONE . � � . AICh/Eng: " � ' Licen58 No. � ❑ TENANT ❑ ELECTRICAL� ❑ PLUNIBING Q MECHANICAL PLNG. REF.SW, � � BUILDING• , ' . � ' Addleul _ � ' - 1 " - • - ' ❑ �OTHER . � . : " ' � . . ' � .TO BUILDING � � _ �� P PE V LWE _ i REAR VARD (TO P/U - Contrector's Nem= GeorRe. Bra2i1 Pl g. ahon�13-515-0 4PROJECT DESCRIPTION , SO. FT. - � OCCUPANCv � . I'%42O�S0. BiOdC�W&Y • CONSTRUCTIONTVVE � � � � ' VALUATION$ �LEFTSIDEVARD RIGHTSIDEVARD � � Addreu (meiling) ., � � i � , , - I 250005 � i ' - �ON€ • % GRADINGCU.VDS: ACRES PKG.SPACEREQ. PROVIOED �` +� License No. - � �' ' - _ . LICENSED�CONTRACTOR DECLARATION ' � Remarks: � ' , � � ' � � � , � STREET WIDTH . ' ^ �PARK FEE�$ ' � P�ereEy.atfirm Ihat9�am IlcenmQ unCer provislons of �Charter,9 (commentlng i , . , . , � � � � � . with section 7000) of �Ivislon 3, of t�e BuSiness anC ProfesSions Cotle, anG � . ,.. , , , � � ' � SPECIAI CONDITIONS: ' � my Itcense Is In (ulffor�e antl effec . ' ' � ' ' - - � � � � . Ucense as � b � 0 Llcens+No.25��r% . 1 � � � ' • PLUMBING ' j ' . ' � : � • ; • , ; • � Date 1�- - ' c�.��*�•a� �tis"�"" � �n . BarSink ' � i SewerCaP� � f ' i � - ' ELECTRICAL . � „ . , 'ORKERS COMPENSATION DECLARATION ' ' � 1 nereby.affirrit tnat.l have a certlficate.oi.consent to.self-InsureAr.a.certifiWte � - ' ' ' _ • Automatic Washer : 'Met2f �bver tOb emps � �� j �� ; ot Workers' Compensation Insurance, or a certitietl. cooY thereoT (Section ' Beckflow Preventer � - - Sewer Connectiom- - -:---� �-- --- . � - . � - -- - - - t- . - � 3800, Lab.�C�31i2H��.4 � � FY'BRIOIlt IriCIBIDrilt`J BackflOw Irrigation � ' Solar Collectors 1 � ` Construction Pole � J Sub Panel; ' �� I � Policy No. ' Company � . � - � � � � , . Cooking Unit : ` Sub Pole { � • I • � I ��cert�i�ed coov �i herebv turn�shea. ppp /ap � pOVEd Plbg'•� $� $t., � Bathtubs � • ' � Solar Piping � I , f . � . . � � 1 Cer t�ga opy�5 filea with the ciry�y� d�nq� i WS, �. � � ` Dishwasher � � ,Motors DO-1 HP ❑ 1 R$ � : Date YU-�-05 ' qpplicant +'+'^ �C��FS� BraZl]. ; I . � Clarifiers i i� � f So1ar Tank . �� ' � - : �� EXEMMION'F0.0M WORKERS GOMiEN5AT10N DECLARATION � � ' D'IShuYdSher t � � � Swimming Pool wlSpa : j ' �� ryers ❑Gas �"�EleCtriC ' "InC:$ol3r �9-15-HP �16-05+' '� .(This zectlon neetl not be complatetl If the permit is for'one �untlretl ($300) or ' . . � . - . ' � i lessl7. t . - � r ' 1 I '. � � , . . i "� Fan' � 1 . . .M¢rowave , ; � 1 I cerJify that In the performance of the work tor whic� thls permk Is IssueE I � D�inking Fount2in5 t Urinal � . � - sna1P noY employ any perwn In any manner so'as to become subject to t�e ' � - . - • , Pole Light • ` � ' Workers'Compensatlon�LawS ot CaIlTornia.; ' ! ' ' FloorDrains; • WatC�Cl052t " . . ' � i Date ' . � 519nature ' � 1 ` • : , ' , . � - � . , i Fixtures � . . . � .. . . -NOTICEe�If; attermakirig Mis tlaclaratlon, you�sFioWA•become�subjecbto the -� � --� Floor.Sinks-�-- �-�-_ .. . __ _Water_Heater..__.,+ . ... _ � _ . _._ ._ _ _ �_ . _. , . - _ ' _.__ . _ _ _ . ange ' Workers'tCompensation provl5ions of the Labor Cotle,.you mu5t.forthwrth, ; . .� - DeviceBoxes • � Si n, � icomply wi[h;such provislons:or this.'permit shall be'Deemetl reyokea. ' GasSerJic'e;; Outlets WaterService � E. ' S ' 9� ; ' ' CONSTRUCTION'.LENDING AGENCV � � � � ' • � � ' - ' ' ' ' � � � Outlets ' � � I hereby afflrm that tnere is a'mn5tructibn�lentling a9ency.for the performance i� � ��erceptors � '-, ' _ � . . � Stantling Sections ' af the �work for which,� this., permit' is �Ixsuetl n(Sectlon '�3097 Civ. C.)� " .� SwitchCs � ' ' � ' � ' � Laneer•s� rvame-� � � Kifchen�Sink' � ' j� ' Trash Compactor • LentlePs: AtlGrass � • �. " � � . . � ," ' �. . - . . . . � � � ' . . i ; - , , - , , ; �avafories ' . '� � � , ' Gartiage �isposal . � � . OWNER BUILDER DECLARATION � '. 1 heraEy atfirm that I am exampLtrom the;Coniractor's'License law tor the� ._� � � Generator �0-5 KW 0545 KW f , following reason (Section 7031.5 Business antl ProTasslonal,Cotla: Any aty or � P-Trap' - r • ' 'COunty whlch �¢quir¢5 a De�mlt to <on5truct, alt¢r improve; tlemolish,or'repalr . : , . , � . , � TranSforrriCr � 75-50 KW � � � ' t dny sttucture� ptlo� to It5�i5suancB,�also requires t�e appllcant to� such pe�mit � Roof�Dreins � � _ " � : � � • ' r � r.tile a signetl statement'that �e/she is licensatl pursuant tb the'provisions oi ' � � �� ' ' � �5U+KW� '�Contractor's License Law (Chapter 9 (coinmencing with ISectlonJ000) of � � �- � . - � � � - � • r � ' , � Reinspeetion Fee � §�5 ; ��'slon �3' oi the IBusiness anE Protessions� Cotle)`or that he/she.is exempt �� Showe�s �, . i RainSpection�F� $15 . . ' . etrom �antl the' basis fo� th8 allegetl exemption. Any_vlolation'of.5ection ' ' Met2� ❑up to 100�amp5 ' issue Fae% ! i ��$ 3 � � J031:5 by": any applicant 7or, a . permi4 subjects [be � applicant to a civil , ; �• � '• Y � � : �� $ 3 - _ , � genalty oT not more than tive huntlretl tlollars (g5o0)- • � � ' ', ' Service Sink . �. ' , M ` : . Issue Fee ' ' - i ; i " • � . � �„- �� , � , 2oning APProJed BY ` Date LJ I,'as�owner oflt�e'property oi^my employees�with wa9es�a5 their sole ' _ . ' � � ( , compensatlon' willitlo tne work, antl,the ztructure is not Intentletl or ofteretl ' - 1 -- � I � _ MECHANICAL , � � � r ' qpplimtion Approved By � ' ' � �Date ' • • 'tor sale.(Sec(lon 7044} Business,antl,7rofeuional_Cotle: ThefContractor'S � , � ( . � p � Llcenze Law tloes not applY to an owner of a property who builtls or improves . , goiler '" � . RefrlgeratiOn $ystertt .qPP�i�t�on Isuad By � IDate -�9 ' 710� thereon,',antl who tloes�such work himself/herself or through hls or her own � '� ' � ' . . . . empio ees, provlAetl th5t such Impravements arernot intentlea or otteretl tor 00-100,OOOBTU �t00,0008TU� ' . . �' � . � Duct = Under,Ground � i . � ; . - , J sale. I however, the builtlln9 or improvement is soltl within one year oi com- , j , i � � � SUMMARY OF FEES '� � • ' pletion, t�e owner wlll have the burtlan of proving he/sM1e tliE not buila or im- � . - � � � , , ' :�roveformepurposeoisale). � � ; .. i i ; � Duct-Structural - � SystemRepair/Alteiation � .BUILDINGPERMIT $ • � SMIP . � . $ �_ LJ I, as owner ot the property, am exclusively contractln9lwith!Iicensetl con- � . � ` tractorsto,construct the project ISection �044,.eusiness antl Professions Cotle: _ Duct : Ventiliting :_ _ ; t � �PLAN CHECK� $' 3 � PERMIT � ; z�ci � The Con[ractor'S License Law does not zppry to an owner of property.who -r � ' : � ' � . ISSUANCE' .$ i'FT"' f bulltls or ImDroves thereon, antl who contracts for sucb projects with a con- ' Exhaust System ❑ MWtiple �' - �PLUMBING $ : tractor(s) Ilcense pursuant to the Contractor'S License Law). � ' � � � ' + U� , ' � � � GRADING ! �� $ �� . r t IPLAN CHECK $ . � I�am exempt untler Se<tion 8. & P. C. for this reason ; FirepUFaM. Blt. ICBO �/k � � �� . . -. � � � ? ' ' �� r • � ' ' ' t � � � �ELECTRICAL � $ � ' � � �� Oate % � • Owner'- � � - � � � � Heabng'System & DucUng � ! � � ' .. � MICROFILM ' $ ° � ' y ' � � pp � � - �6100,000.87U �1000008 � - __ .. . _ _ ._, � PL..4N CHECK � ��I'he�eEy certlf thabl�ha+e �eatl-IhiYa IicatiOn-anC�Stata [liat-the abOve•1- � - '. ��- $ InPormation is correct. I agree to compry with all city antl county ortlinances � ~ 1� . i $ : ,QQ ♦ TOTAL,FEE �$, 7.��, ' antlstate laws rel iin9 do bWltlln9 construction,antl hereby authorize repre- Hood or T e I ❑� ' ' ' ' ' � �MECHANICAL : . , , , sentaHves o� t� cityt to anter • upon the above-mantlonetl property ,tor �no TYPQ I I ❑ ; t � • Reinspeetion Fee $15 - � LESS ' , , F �PLAN CHECK; i $ qDVANCED PC � $ � � InsPection 5. • ! • ' . . . , . I ' j 519n5ture GI.:C.OU—! ` HT'i� oate7.0-r7-H'>', i . , � : , � 1 1 . . � . ' � , � ` . � - _ _ Registers � • , laue Fee S 3 . , ' ' , Drivars' Llcense or 55 � r � j ! i � � ' t . FINAL FEE1 :$�?'-n�%� . , "_w . : . ... ...__ . . . ..�. . _ . " �.._" "W "._""" _ . _ _^ "" '_' _ ._"_ _ ..._ .. ." ' '_.._ . .. "_'.... _ " " ' CMF 0865-46 rev. 12/82 White - BW Itling; Canary - APP��cant; Pink - Acmunting; Goltlenrotl - Assessor � �� ' ' � � � � � � � ""`�" � "' � . . . ,�- �. CONSTRUCTION AND,PLANNING ' ' - � � � �� SPA . ` ' � ' ?� � � � -Date � �Inspector � -. - '' � � . Date' Inspeotor : APPROVALS - Permit #� . APPROVALS ; Perinit # - 1. Temporary Electrical Service or Pole'i � `i - � 52: Pool &.Equipment Location ' - . r ^��. ��. �� 2i Soil Pi e-Undr rnd.- -�-' �.: • �_ c� � 53: Steel Reinforcement � � •�.. P,..t 9 � .z.i �a: „� � 3: Electrical�Conduit Utilitv,-UndrgrnH? �i ; -`- �54.� FormsS' � � - ' -� - - f. rt> ! 4. ElectricelConduit-Undrgmd�.�- _ : , �� , � 55. Electrical Bonding , , �, � 5: Stee=�Reinforcement �� _ - . 56. Rough Plumbing & Pressure Test 6. ElectFical UFER Grnd. • _ - - - 57: APPROVAL TO COVER-GUNITE, ' 7. Footing3';�, � ' , �� . � � . -"` I .' '58. Electrical Cpnduit-Undrarod. - _- � 8. Four�dation _ - ; �' � �' � - 59. GasPipe,-O Undrgrnd.,Test` � _rr�' 9. Water Pi�pe-Untlrgrnd. . � . � � � �.' ' _ � 60. Backwash Lines, P-Trap. O Undrgrnd. � . � � „', n 10. Structural Floor�System �' 1 �` �> _ 61. APPROVAL TO DECK � 11. Property Sewer Line &�House Corinection �" tj �� 82. �Backwash & Receptor-Final - ' � c �.i � r , 12. Sewei�Cap , • � � � ` � , . �' ��i �-, : � 63. Heater & Vent-Final� � � � i r:. � . 13. �Roof Drains � y � . ' .� , "64. Plumbing System - Final ��, 14. RoughPlumbing• � ' - �� i'-��i: � 65. Electrical-Final � � �15.` Rough Electricai=ConduiYi " "" - - � � "- .66. Solar System-Final � � . - � � �: -76. Rough Electric Wicing� ; . - �' �- - _ : 67: Fencing & Access Approval �� . :, 77. Rough Wiiing�Sign , ' ' '� � � ' 68. APPROVED FOR PLASTERING � - _ � , 18. Rough Electrical:T Bar Ceiling � � =�� i69! POOUSPA SYSTEMS FINAL 19..Rough�Heating & Air�Conditioning � : i ' '� FIRE DEPT. REQUIREMENT. � � 20. Rough Factory Fireplace � � � � �� i APPROVALS Permit # ' 21. Duc[s, in Structure' � � � 70� Underground Hydro , 22. Ducts, Ventilating � I � - i' '71. Produc[ Piping � Gas ❑ Oil . 23. Gas�Pipe-Rough & Test . ' 'i^_" � t � � _ �.72: Underground Flush � , `�24. Roof Framing: - � �' = ! •� � , � � 73: Undergrnd. Storage Tank' � Gas ❑ Oil � n_ 25. Roof Sheathing � - "` ' ,' � - � .74: Overhead Hydro � � _ 26. T-Bar Ceiling IStructural)�� & Monocoaf' � . � 75. Dry Chemical - - 27. Frame and F�ashing � �� i � , � � 76. Dry Standpipe � � 28. Lathing & Siding' ; � 77. FIXED SYSTEM FINAL �, ' � 29.'Insulation�. "� , � '' � i '78. FIRE PREV. FINAL � 30. Drywall Nailing � ; ' � ' � � � Notes: 31. Plaster Brown Coat � , ' � � , 32. Electrical,Power Meter-Final �, i � � � ' � - . . , 33..Final Electric � 34. Final Heating &,�Air Conditioning ��/{ �' � • - 35. Final Gas Pipe-Test ' � - � � � - " - ' � . � , - 36. Hood or CanopV ��' r •� � � _ 37. Final Factory Fireplace_� ' �� , • � � � . , � - . � n. 38. Final Plumbing . � ' � .� - � ' . � 39. Water'Service-Final � ' � � .;.j : � , M1 40. Gas Service-Final � � �� ' . 41. Solar pomesticFinal � � ' " � ,� _ _ � i� 42. Backflow Preventei � . � _ , � . � - � , 43. Backflow Irrigation � . � � ' ' . 44. Landscape IFrigation�System� � �? � � � - ` � '' � - 45. Sound .Attenuation �. � � � � ' � . � . � 46. Handicap Regulations� . I ' . ' i . � 47. FINAL STRUCTURE�& BUILDING . - ' � � ' • 48. Special Requirements Completed � � � ' . � . . 49. Elec[ric Release toiEdison ' ' ,, ' _ �_ _ . . _ _ ... . _. . _ � � . �. �. 50. Gas Release to Southem Ealifornia Gas Co � � � , � � . � ' , _ c' 51. CERTIFICATE OF OCCUPANCY , _ _ .-. No � Date � - � . - � � OWNER _ SIJP��L;RLAND LAND' CO. DATE Li-ZI1-S% JOBADDRESS ��2-Sicily Avenue BUIIDINGPERMITNO. �{({9OE3 GENERAL CONTRqCTOR Oc,mer BZC11'. VALUE $ ]]_�(1QJ,��OO _ �or 150 s�ocK TRACT 2353 Res. w/att. �ar. GROUP I& J TVPE Y� ZONE RZ FIREDISTRICT 493µ PERMITS ISSUED INSPECT.IONS� DATE SUBCONTRACTOR DATE I NUMBER _ " _____� � [ =/�e f Foundation Farms and Grade to Garage RoughFraming _ '� ri%; Plumbing, Rough to Slab y(�� S=h Plumbing, Rough Camplete (.n 25 �-12 iemporary Pole Wiring, Rough �UN 195 Heating, Bough �CS � Heating. Final ' �Vi.LS la j�", Sewer, House Sewer, St. /%�/�S � �. Septic Tank or Cesspool Lathing, In Out 'i/ � Plastering � �L _�1 Plumbing,Pin.al,FixturesComplete%YICS iD-�.,¢ Plumbing, Fin,al Gag Test �d� L$ (6 -}�j W iring, Final � Occupancy 1 r — z FORM 210 3M 10�93 - �-3 ��;�� COSTA MESA BUILDING DEPARTMENT P. O. BOX 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN ,�,� ,,��y - COSTA MESA. CALIFORNIA MAIL ADDRE55 ��l�i Cn_ �ITY 1�0$ 5117�812$� �i ARCHITECT OR ENGINEER {;,1� � avnC AODRESS � 'f'� Fjpp Swrmier an an CONTRACTOR 1124 So. Bever ADDRE55 ,(1 A pP�PC �Ew� LOT ` DESCRIPTION NO. B�� A.P. NO. SIZE �nnn OF LOT tSISIINIi tlLUli. SETBACK LINE FROM CENTER OF STPEET .1 • TE4��ti�el'I NO. fj LIC. J NO. Sr�T pa apoA� AA CITY LIC. �l �J �1 N O. y�� TEWrQ= iY� 1�� 1 � O. lj TRACT G NO.OF BLDGS. �IOW ON LOT nnna � REAR VARD �l � SIOE VARD RIGHT rj 1 IEFT � DESCRIPTION OF WORK VEW }( ALTERATION AODITION REPAIR MOVING DEMOLISH BIJILDING NO.OF SIZE ij ROOMS � STORIES E%TERIOR WALL Oi. ROOF COVERING_ _ __ y2b_UQCO COVERING ROC�IS USE OF NEW BUILDiNG Si nn'1 o Pi omi l v T1t�rcl l i�. $T�1TE iHAT TNE ABOVI CITY ORO�NPNCE O TION. S�GNATURE OF PERMITTEE AUTHORIZEO AGENT �. ' �EE ��CtiVtu G� �'--Qyf I �j �"i-9- � FINRNCE DEP� CITY OF COSiA M€SA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY F COSTA MESA. CALIFORNIA APPROVED BV CORRECTIONS '. IS CORFECT AN� AGREE TO COMPLY WITH ALL STATE L4W5 REGULRTING BIIIL�ING CONBTRVC- VALUATION PERMIT FEE S fj , `� ��// �� PLnN CHECK S 1�� QQ � TOTAL FEE SI..�.z�OO "OM! OwNER RON PECA JOB ADDRE55 3172 AP Ne. 17q_ GAS W ATER FOUGN PLUMBING PROP. SWR. LINE MISCELLANEOt15 ROUGN HEPTING /•NO AIF TEMPOR4RY SEAVICE OR UNOERGROUNO � PO ROUGH wIRING TRE4CHE5 FORMS � FLOOR SYSTEM SHEaTNiNG FNFME PNO FI.PSHING LqTHING — IN OtIT PLFSTER.9ROWN C04T FINFL A FINSL T ITiONING A.C.. FINAL TRACT DA7E 48566 BUILDING PERMIT N0. SUBCONTRACTOR �. � COSTA MESA BUILDINGSAFETY DEPARTMENT APPLI ATION FOIt7S�i'RE�IEFR�(i. PERMIT 20• P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 - - REC PERMIT ATO 4 8 5 6 6 For Applicant to Fill in Completety — Use Ink Only 1�� BUILDING p^` A.P. NO. � � Q ADDFESS ��L� 1`�; BUILDING �' � T� NAN OR - 1 n ADDRE55 IV la UNIT OR MAILING L SPACE NO. ADDRE55 '''L J�GL�'I E • ^ I,p T LOT ,�� BLK. CITV �. � _ NOL CjS /STD NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION _ LENDER BFANCH OWNER ADDRESS VALUE ARCHITECT TEL. USE �} $ Z ` OR ENGINEER NO. ADOFESS ZONE E GROUP APPROVED CONTRACTOR �� BV DATE ADDRESS TEI. CITV NO. F STATE CITV APPROVEDSETBACKS LIC. NO. LIC. NO. � SI2E NO.OFBLDGS. (FROM L ) C. OF LOT NOW ON LOT RON ¢ USE OF � EXISTING BLDG. S E F � FSeparate permits are required for L SIDE FT. � � electric, plumbing and heating work. REAR Fr. �,W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Q � 1 OATE a Q"' APPFOVED Q � � APPROVE � ,�„"7 } � � �d �i W 0 I hereby acknowletlge thet I have reatl Shis application antl state a! that the above intormation is correct and agree to comply with p+ all laws regulating builtling construction, and I shall not employ �Z any person in violallon of the workman's compensation laws of � tha State of California. ,� I hereby certify that I am properly licensetl as a eontractor untler SQ. FT. ihe Staie of Califo�nia Businass and P�ofessions Cotle, Division 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR Chapter 9, and that such licensas ara in full force antl effact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: am exempt from the provisians of the State of California Business VALUATION antl Profession , Division hapier 9. PERMIT FEE $ � O0 � D� PLAN CHECK $ Signature of /n Permittee $� L TAX S Q or Authorized Agent Date TOTAL PAID $ 2 ��O 10 Tl �